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Make a patient care notes based on the picture.

Make a patient care notes based on the picture.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Make a patient care notes based on the picture.

CASE CODE: CA2/CAL Patient Aida, a 49-year-old professional, moderately sedentary, was recently diagnosed with breast cancer. She is 5' 1" and weighs 102lbs. A core biopsy revealed a grade 2 to 3 infiltrating ductal carcinoma with positive estrogen and progesterone receptors and human epidermal growth factor receptor 2 and associated ductal carcinoma in situ. She went on to have an excisional biopsy, which revealed a 2.5-cm infiltrating ductal carcinoma associated with multiple smaller nodules. She was taken for a re-excision, and multifocal cancer was found at, and beyond, the surgical site. An Oncotype DX (Genomic Health analysis was performed. She had a recurrence score of 38 (which is in the high-risk range) giving a rate of distant recurrence of 26% at 10 years, assuming treatment with 5 years of tamoxifen. She then underwent a mastectomy that was complicated by pain and infection at the surgical site. These complications were treated with topical lidocaine and antibiotics. Ms Aida also underwent an axillary lymph node dissection that led to lymphedema (treated by physical therapy). Then she started chemotherapy and was scheduled for 4 cycles of doxorubicin and cyclophosphamide every 2 weeks (to be followed by 4 cycles of paclitaxel and dexamethasone). Patient Aida consulted her primary care physician about numerous problems (including nausea, fatigue, neuropathy, lymphedema, and redness, as well as postoperative pain at the surgical site). In addition, she felt anxious, depressed, angry, and sad; she also noted social withdrawal, decreased function, inattentiveness, and difficulties finding words.
Transcribed Image Text:CASE CODE: CA2/CAL Patient Aida, a 49-year-old professional, moderately sedentary, was recently diagnosed with breast cancer. She is 5' 1" and weighs 102lbs. A core biopsy revealed a grade 2 to 3 infiltrating ductal carcinoma with positive estrogen and progesterone receptors and human epidermal growth factor receptor 2 and associated ductal carcinoma in situ. She went on to have an excisional biopsy, which revealed a 2.5-cm infiltrating ductal carcinoma associated with multiple smaller nodules. She was taken for a re-excision, and multifocal cancer was found at, and beyond, the surgical site. An Oncotype DX (Genomic Health analysis was performed. She had a recurrence score of 38 (which is in the high-risk range) giving a rate of distant recurrence of 26% at 10 years, assuming treatment with 5 years of tamoxifen. She then underwent a mastectomy that was complicated by pain and infection at the surgical site. These complications were treated with topical lidocaine and antibiotics. Ms Aida also underwent an axillary lymph node dissection that led to lymphedema (treated by physical therapy). Then she started chemotherapy and was scheduled for 4 cycles of doxorubicin and cyclophosphamide every 2 weeks (to be followed by 4 cycles of paclitaxel and dexamethasone). Patient Aida consulted her primary care physician about numerous problems (including nausea, fatigue, neuropathy, lymphedema, and redness, as well as postoperative pain at the surgical site). In addition, she felt anxious, depressed, angry, and sad; she also noted social withdrawal, decreased function, inattentiveness, and difficulties finding words.
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